【摘要】 目的:探讨阿尔兹海默病与血管性痴呆的诊断方法和治疗效果。方法:选取我院2006～2010年收治的阿尔兹海默病和血管性痴呆患者,观察比较其诊断指标和治疗效果。结果:AD和VaD患者MMSE-R评分无显著差异;AD组和VaD组脑电图异常率有统计学意义(P<0.01),AD组脑电图异常率低于VaD组;AD与VaD组患者血浆Hcy、VitB12和ChE差异有统计学意义(P<0.05);AD组与VaD组认知功能、记忆功能和社会行为能力改善比较差异有统计学意义(P<0.05),VaD组改善均好于AD组。结论:通过临床症状和生化检查在一定程度上能够鉴别AD和VaD患者,同时针对二者不同的病因和发病机制,采取相应的治疗措施有一定的效果,值得临床借鉴。更多还原

【Abstract】 Objective:To explore the diagnosis and curative effect of AD and VaD.Methods:Retrospective analysis of the patient’s dates from 2006 to 2010 in our hospital,to observe diagnostic indexes and curative effect.Results:MMSE-R for AD and VaD was not different significantly.EEG for AD and VaD were statistical different significantly(P<0.01);Hcy,VitB12 and ChE for AD and VaD were statistical different significantly;Cognitive function、memory function、ability and social behaviors were statistical different significantly(P<0.05),curative effect of VaD was better than AD.Conclusion:Symptom and biochemistry can be used for differential diagnosis.Taking effective treatment according to pathogenesis should be good for AD and VaD and be used for reference.更多还原